A case of refractory hypertension in young age

Renal artery stenosis (RAS) is most common cause of secondary hypertension and accounts for approximately 1–3% of all causes of hypertension. Fibromuscular dysplasia (FMD) is important cause of RAS in young patients. Various therapeutic options are currently available for patients with renovascular hypertension: medical antihypertensive therapy, surgical revascularisation and transluminal angioplasty including stent implantation. We present in this report a female patient with left renal artery & left renal atrophy and segmental marked stenosis of supra renal aorta who presented with hypertensive encephalopathy & viral meningitis. Patient was successfully treated with antiviral agent. Bangladesh Crit Care J September 2018; 6(2): 102-104